Finding the Best Supportive Shoes for Multiple Sclerosis Symptoms

Understanding Foot Pain and Mobility Issues with MS

Finding the right shoes is crucial for people with multiple sclerosis (MS). MS is an autoimmune disease that damages the central nervous system, disrupting communication between the brain and body. This can lead to various symptoms, including numbness, muscle weakness, spasms, fatigue, balance and coordination problems, vision issues, and mobility challenges.

Many people with MS experience foot pain, tingling, numbness or burning sensations in their feet and legs. These neuropathic symptoms are caused by damage to the nerves. Muscle weakness and spasticity can also negatively impact the ankles and feet, making it difficult to walk or balance properly.

Foot drop, a condition where you cannot lift the front of your foot due to weakness or paralysis, is also common with MS. This causes you to drag your foot when walking, leading to tripping or falling. Finding stability with the right footwear is crucial for preventing injuries.

Choosing the Features You Need

The key is finding supportive shoes tailored to your specific mobility needs and comfort preferences. Here are some important features to look for:

• Ankle support - Firm ankle support helps stabilize weak ankles and prevent rolling or twisting.
• Arch support - This supports the foot structure and prevents overpronation that can aggravate foot pain.
• Cushioning - Cushioning in areas like the heel and forefoot provide shock absorption and protect against numbness or tingling.
• Stability - A stable shoe with features like a wide base can improve balance challenges.
• Lightweight - Light materials reduce fatigue for walking and mobility.
• Comfortable fit - Getting an exact fit for your foot shape will prevent blisters or irritation.
• Adjustable closures - Features like laces, straps, or Velcro allow you to adjust the fit as needed throughout the day.
• Non-slip soles - Durable rubber outsoles grip the ground for stability.
• Room for orthotics - Removable insoles allow you to insert customized orthotic inserts.

Types of Shoes to Consider

There are many shoe styles and designs made to accommodate foot pain, mobility limitations, and stability challenges associated with MS, including:

• Stability sneakers - Athletic sneakers with features like midsole cushioning, medial & lateral support, and high traction outsoles.
• Orthopedic walking shoes - Designed for optimal comfort, support, and shock absorption while walking.
• Depth shoes - Extra depth through the toe box accommodates foot deformities without irritation.
• Slip-on shoes - Easy to slide on if bending down is difficult; available as loafers or slipper-booties.
• Hook & loop closures - Adjustable Velcro closures instead of laces for easier fastening.
• Ankle boots - Provide ankle stability and support.
• Therapeutic footwear - Fully customized based on your exact needs and limitations.

Tips for Finding the Best Fit

Follow these tips to ensure you find the most appropriate shoes tailored for your needs:

• Consult your doctor about any specific foot concerns and get customized orthotics if needed.
• Have your feet properly measured when buying new shoes.
• Shop at the end of the day when your feet are most swollen.
• Try shoes with your typical insert or orthotic to test fit and comfort.
• Walk around the store to test stability, grip, and overall feel.
• Make sure to have thumbs width space in toe box when standing.
• Consider buying shoes with adjustable closures for customization.
• Replace shoes every 6 months or when they lose support.

Reviews of the Best Shoe Styles for Multiple Sclerosis

Choosing the right shoe often comes down to personal factors - foot shape, exact symptoms, comfort preferences, etc. While there are many great options, here are 8 top styles that tend to work very well for many people with MS.

1. New Balance MW577 Walking Shoes

With optimal cushioning and stability, these leather walking shoes are a top choice for people with MS. Key benefits:

• ABZORB midsole cushioning provides excellent shock absorption.
• ROLLBAR technology helps prevent the foot from rolling inwards.
• Medicare / HCPCS code = A5500, meaning they can be covered if prescribed.
• Available in different width sizes for a customized fit.
• Lace-up closure lets you adjust the fit as needed.

2. Orthofeet Proven Pain Relief Shoes

Specifically designed to alleviate foot pain, these therapeutic sneakers have strong arch and ankle support. Key benefits:

• Extra depth & wide toe box relieves pressure on bunions and deformities.
• Anatomical arch support and cushioned insoles.
• Smooth interior lining won't irritate sensitive feet.
• Available in lace-up, straps, or Velcro closure.

3. VIONIC Walker Classic Shoes

With built-in orthotic support, these structured walking shoes promote stability. Key benefits:

• Podiatrist-designed with a firm heel counter and arch support.
• Durable EVA midsole absorbs shock.
• Removable textured footbed allows for orthotics.
• Medicare code = A5500, may qualify for reimbursement.
• Available in wide widths and easy slip-on adjustability.

4. Brooks Addiction Walker Sneakers

Providing soft cushioning and structured support, these are ideal for people with foot drop. Key benefits:

• Extended progressive diagonal rollbar prevents overpronation.
• Full grain leather upper and moisture-managing lining.
• Wide options available for custom widths.
• Lace-up for adjustable support.

5. Rockport Cobb Hill Gratasha Oxfords

With a comfortable padded collar and elastic lacing, these oxfords are easy to get on and off. Key benefits:

• EVA and rubber outsole provide lightweight shock absorption.
• Removable foam footbed accommodates custom orthotics.
• Extra depth and wide toe box available.
• Adjustable hook-and-loop strap closure.

6. Dr. Comfort Carter Men's Therapeutic Shoe

With multiple layers of cushioning and seam-free lining, these provide all-day comfort and support for men. Key benefits:

• Medicare Code = A5500, may qualify for reimbursement.
• Gel insert cushions and protects sensitive feet.
• Firm heel counter and stability shank prevent excess motion.
• Flexible Lycra upper material.
• Velcro closure for easy adjustability.

7. ASICS Gel-Tech Walker Neo Walking Shoes

Providing structured arch support and shock absorption, these are great for stability. Key benefits:

• Rearfoot and forefoot GEL cushioning.
• Dual-density midsole for support and comfort.
• AHAR rubber outsole for traction.
• Removable sockliner accommodates medical orthotics.
• Lace-up and strap closure combinations available.

8. Orthofeet Bunions Relief Orthotic Sneakers

With customized arch supports and extra depth toe box, these sneakers prevent irritation. Key benefits:

• Anatomical arch supports and cushioning for stability.
• Seam-free interior lining prevents pressure points.
• Extra depth and wide toe box protects bunions.
• Medicare code = A5500, may qualify for reimbursement.

Working With a Podiatrist for Custom Orthotics

While over-the-counter shoes can provide comfort and support, getting custom-made orthotics from a podiatrist can maximize pain relief and stability if you have severe MS symptoms. A podiatrist will evaluate your gait, fit you for shoe inserts molded from a cast of your feet, and advise on shoes that can accommodate the inserts.

Benefits of Custom Orthotic Inserts

• Distribute weight evenly to alleviate pressure.
• Provide cushioning and shock absorption.
• Support arches to prevent overpronation.
• Help correct foot drop.
• Improve balance and stability.
• Prevent calluses, blisters, and ulcers.
• Reduce pain from bunions, corns, and deformities.

Medicare may cover some or all of the costs of podiatrist care and custom inserts if deemed medically necessary. Talk to your doctor to determine if getting fitted for custom orthotics would benefit your MS symptoms.

Frequently Asked Questions

1. What kind of shoes are best for neuropathy?

The best shoes for peripheral neuropathy will have thick, cushioned soles to absorb impact and protect sensitive feet. Features like a roomy toe box, stretchy uppers, and adjustable closures also prevent friction and accommodate swelling or deformities.

2. Should I wear supportive or flexible shoes for MS?

Those with mild MS symptoms may benefit from flexible shoes that allow natural foot motion. But most people need sturdy support shoes with stability features to accommodate mobility limitations. Talk to your doctor about the right level of support for your needs.

3. Can I get reimbursement for therapeutic shoes for MS?

Medicare Part B and some private insurances will cover some or all of the costs of therapeutic shoes and inserts for MS if they are deemed medically necessary. Shoes must be specially adapted and prescribed by your doctor.

4. What exercises help foot drop?

Physical therapy exercises like toe raises, toe curls, foot circles, and picking up marbles or towels with your toes can help strengthen the anterior tibialis muscle to prevent foot drop. Ankle foot orthoses (AFOs) are also used to keep the toes lifted while walking.

5. Can losing weight help MS mobility issues?

Yes, maintaining a healthy weight through diet and exercise can improve mobility symptoms by reducing strain on joints and improving stability. However, speak to your doctor before starting any new diet or exercise routine.

The Takeaway: Finding the Right Shoes is Crucial with MS

Finding proper footwear is an essential part of managing mobility challenges associated with multiple sclerosis. Prioritize stability, support, cushioning, and comfort tailored to your needs. Don't hesitate to consult medical experts who can recommend specific shoes, inserts, and exercises to improve your symptoms and prevent injuries.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.